Active NPI
Dale R Gerstmann, M.D.
- Pediatrics Physician
- Orem, UT
National Provider Identifier
1205834843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 184816-1205
- Practice address
- 750 W 800 N
Orem, UT 84057-3660 - Phone
- (801) 714-6511
- Fax
- (801) 714-6597
- NPI assigned
- Jul 8, 2005
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 184816-1205 | UT | Primary |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 184816-1205 | UT |
Addresses
Primary practice location
750 W 800 N
Orem, UT 84057-3660
Mailing address
730 W 800 N Ste 340B
Orem, UT 84057-6300
Phone (801) 655-5425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160621001901 | UT | Order and Referring Only - Other (Physician) | 5294764346 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184816-1205 | UT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Neonatal LC | Neonatal-Perinatal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wasatch Neonatal
- Critical Care Neonatal Nurse Practitioner
- Orem, UT
- NPI 1770513095
Neonatal-Perinatal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1205834843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 W 800 N STE 340B",
"city": "OREM",
"state": "UT",
"postal_code": "840576300",
"telephone_number": "801-655-5425",
"fax_number": "801-655-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 W 800 N",
"city": "OREM",
"state": "UT",
"postal_code": "840573660",
"telephone_number": "801-714-6511",
"fax_number": "801-714-6597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSTMANN",
"first_name": "DALE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "184816-1205",
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "UT",
"license": "184816-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.